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AHMED SALEH ERAKAT D.O.
NPI 1285929935
General Practice in Southampton, NY

Active since June 10, 2011PECOS Enrolled
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-0409 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ahmed Saleh Erakat D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AHMED SALEH ERAKAT D.O. (NPI 1285929935) is an individual general practice provider in Southampton, New York, licensed in New York (STUDENT) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285929935
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameAHMED SALEH ERAKATCredential: D.O.
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing Address308 Saint Andrews Rd WSouthampton, NY 11968-3744 · (510) 517-9341
Phone(631) 726-0409
Sole ProprietorNo
Enumeration DateJune 10, 2011
Last NPPES UpdateDecember 15, 2021
✔ NPI 1285929935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · STUDENT
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
240 MEETING HOUSE LN, Southampton, NY 11968
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Saleh Erakat D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ahmed Erakat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,590 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KONSTADINOS J SPYRIS D.O.
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 560-3219
MICHAEL AMERES MD
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 537-0318
ANTHONY JOHN VACCHIO
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200
KATELYN ANNE PIERSON MS,RD,CDN
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8233
RAMI AZZAM
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
CRYSTAL JOY
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8476
TEIAH MOORE D.O.
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
DR. RIDDHISH SHETH MD
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ahmed Erakat's NPI number?

The NPI number for Ahmed Erakat is 1285929935. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Ahmed Erakat located?

Ahmed Erakat practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-0409.

What is Ahmed Erakat's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ahmed Erakat enrolled in Medicare?

Yes. Ahmed Erakat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ahmed Erakat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Erakat reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahmed Erakat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ahmed Erakat was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.